卡式微柱凝胶试验在临床输血检验中的应用价值研究

探究在临床输血检验过程中应用卡式微柱凝胶的功能与价值。方法:本研究选取2018-2020年在我院接受临床输血治疗的110例患者为主要研究对象。同时,根据不同的输血治疗方法将患者分为常规组和实验组,每组55例。对照组采取传统的临床输血试验方法,而实验组则采取卡式微柱凝胶的实验方法对病人进行临床输血试验,对两组病人的正定型和反定型对比、病人评价、与检验结果数据进行了分析和对比。结果:常规组病人通过盐水法输血检验后的反定型血液符合率为95.17%,正定型血液符合率为97.24%;实验组患者经过盐水法输血检验后的反定型血液符合率为99.31%,正定型血液符合率为100.00%,两组数据之间的差异具有统计学意义(P<0.05);经过实验后,110例输血患者中检测出35例阴性血液,比例为48.79%,其中有2例RhD阴性,比例为0.03%;13例E阴性,比例为28.62%;20例C阴性,比例为19.45%;交叉配血实验中存在8例配血不符,比例为0.69%;实验组患者的输血检验满意率为96%,常规组患者的输血检验满意率为82%,实验组各方面的对比数据都要明显高于常规组,两个数值间的差距存在着统计学含义(P<0.05)。结论:在临床输血检测的整个流程中,使用卡式微柱凝胶可以使病人的正定型、反定型与血浆的符合率有效地提高,为一次性血浆检测的准确性提供了保证,同时也可以降低了病人血浆标本的溶血概率,而减少了病人出现输血不良反应的情况,进而提高了输血患者的生命安全系数,由此可见,卡式微柱凝胶的应用在临床输血检测中有着极高的地位和价值,值得推广应用。

Secondary hyperparathyroidism associated with multiple brown tumor:a case report

Brown tumour represents a serious complication of hyperparathyroidism.Definitive diagnosis is based on histological examination,clinical,radiological and laboratory data.Here we report a case of multiple brown tumours localised in collarbone,rib and in the distal ulna due to secondary hyperparathyroidism in a 37-year-old women with chronic renal failure.The clinical management of brown tumour aimed primarily to reduce the elevated parathyroid hormone levels by pharmacological treatment.In our experience,clinicians usually consider brown tumor of hyperparathyroidism is caused by giant cell lesions in maintenance hemodialysis recipients,and multiple brown tumours are rarely seen in these patients.